Healthcare Provider Details

I. General information

NPI: 1073757704
Provider Name (Legal Business Name): ERICA B SAINI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA B NEWMAN

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 60TH ST SUITE 10
OAKLAND CA
94608-2369
US

IV. Provider business mailing address

2625 ALCATRAZ AVE # 173
BERKELEY CA
94705-2702
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-5010
  • Fax:
Mailing address:
  • Phone: 510-859-4316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2012990
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: